Document yrKEeJQv7b3B4ZVdOazoQqN64

FILE NAME: Goodyear (GY) DATE: 1981 Mar 3 DOC#: GY053 DOCUMENT DESCRIPTION: Carcinogen Registration Form TflU infnAVJwMi Chief, Division of Industrial Safety STATE BF CALIFORNIA oeparthnt of industrial r e u t ions .PLAINTIFFS EXHIBITg , GTR-1- DIVISION OF INDUSTRIAL SAFETY CARCINOGEN REGISTRATION FORM Deer Sir: Thlt letter serves as registration as a carcinogen user In accordance with Title 8, California Administrative Code, Sections 5208, 5209, and 5210, Indication use of the following carcinogen(s). Checked substances are used In our workplace. 2Acetylamlnofluorena A-Amlnodlphenyl **' 'tentMine (end Its salts) " ""jJ'-Olehlorobenxidlne (end " i.Q Imathylemlnoeiobeniene elphe-Naphthylaelne beta*Naphthy1alne A-NItrob Iphenyl Its salts) N HItrosodtnethyleetne bett-Proploltctone bls-Chlorowethyl ether __JVithyl ehloromethyl ether A .k'-Hethylene bis (2 Chloroenlltne) ___ Ethylenelelne j^Asbestos ___ Vinyl Chloride ___ Other:___________ .. (MOCA) The following required Information Is provided, (Use beck of this fore If ettre space Is needs 1. A brief description, ln*plant location, and the address of each area where carcinogens are used. ( . . W/C 218 SFOSJ DC-10 Brake Overhaul 2. Other Identifying Information of each carcinogen In use, such as trade names or synonyms, If known, P/N 500087 Insulator - Goodyear in? n-jmber of employees In areas where carcinogens are used during any operation including maintenance activities. Insulators are removed, inspected A installed L. 1h manner In which a carcinogen is present In a place of employment; e.g., whether It Is manufactured, processed, used, repackaged, released, stored or otherwise handled. 5. The name and address of the bargaining representetIve(s), If any, of the np'loyces who may be exposed to the carcinogens. Bob Anderson, IAMAW Local Lodge 1781 . W. A. Geraghty ________ Safety-Manager. Hame (- Title of Registrant Maintenance Ops Center United Airlines Company 1511 Rollins Rd., Burlingame, Ca. 94010 .. -4511-- 3/3/.8L. SIC)1 Date -Sao-Francisco. Ca. Address 94128 Zip Code I I Chack If operations Involve temporary Jobsites. Any change In the above Information shall be similarly raportad In wrItIng wlthIn 15 calendar days of such changes to the Oivlsion of Industrial Safety as referenced In the Title 8, California Administrative Code Sections cited above. .... (POST k co p y OF T H IS RETCKT IM /L CONSPICUOUS P U C E ^caRONO&EN I S USED. SEE SEC.2A23\ OF THE. HEALTH . SAFETY CODE)